| NPI | 1215898549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L. KOONS-WESTON Clinical Social Worker 740-856-7496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-11-18 |
| Last Update Date | 2025-11-18 |